RESUMO
Rhododendron brachycarpum has been known as a panacea in Korean folk medicine, and is used to treat various diseases including hypertension. Excessive ingestion can cause intoxication by grayanotoxin. We experienced a 59 year-old man suffering of grayanotoxin intoxication following excessive ingestion of Rhododendron brachycarpum. The patient presented dizziness, weakness, and chest discomfort with cold sweats. Electrocardiography showed marked sinus bradycardia with atrio-ventricular dissociation. With intravenous saline and atropine, the patient recovered. This case calls attention to the potential cardiotoxicity of Korean folk medicine Rhododendron brachycarpum.
Assuntos
Humanos , Pessoa de Meia-Idade , Atropina , Bradicardia , Tontura , Ingestão de Alimentos , Eletrocardiografia , Hipertensão , Medicina Tradicional , Rhododendron , Suor , TóraxRESUMO
The management of symptomatic patients with hypertrophic Cardiomyopathy has generally included the use of beta-blockers and calcium channel blockers. Surgical treatment has been attempted for operable patients who have become refractory to medical therapy. However, associated complications, high mortality rate, and high recurrence of symptoms have shifted the treatment focus toward alternative therapy modalities. Recently, a DDD type pacemaker has been introduced as an alternative treatment option. We report a case of a patient with hypertrophic cardiomyopathy treated with dual-chamber pacing.
Assuntos
Humanos , Bloqueadores dos Canais de Cálcio , Cardiomiopatia Hipertrófica , Diclorodifenildicloroetano , Mortalidade , Marca-Passo Artificial , RecidivaRESUMO
Subcapsular renal hematoma without a history of trauma is uncommon, which has been reported with the association of underlying renal tumor, vascular or inflammatory disease. Recently, subcapsular renal hematoma has been reported to be a rare complication of acute pyelonephritis. If abdominal pain is acutely aggravated or hematocrit is rapidly decreased in the patient of acute pyelonephritis, subcapsular renal hematoma as a complication of acute pyelonephritis should be considered and confirmed by subsequent imaging studies. We report two cases of subcapsular renal hematoma as a complication of acute pyelonephritis.